Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.99 / $43.31 / $45.59	Facility	26	$37.99	$43.31	$45.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $66.84 / $141.69	Professional		$57.53	$66.84	$141.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.97 / $37.99 / $54.46	Professional	26	$31.97	$37.99	$54.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $83.83 / $123.45	Professional		$57.21	$83.83	$123.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $43.12 / $65.48	Professional	26	$32.97	$43.12	$65.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $70.72 / $115.39	Professional		$52.67	$70.72	$115.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.58 / $42.16 / $63.63	Professional	26	$32.58	$42.16	$63.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $73.11 / $120.46	Professional		$1.00	$73.11	$120.46
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.00 / $38.78 / $61.69	Professional	26	$1.00	$38.78	$61.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $67.13 / $104.45	Professional		$1.00	$67.13	$104.45
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1.00 / $35.25 / $52.88	Professional	26	$1.00	$35.25	$52.88
United Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $76.95 / $127.16	Professional		$57.28	$76.95	$127.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $45.86 / $70.23	Professional	26	$34.97	$45.86	$70.23